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    US OB Review (#1 - 61)

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    Júlio Muniz
    This document is a case review for oral boards in radiology containing 61 ultrasound cases related to obstetrics. Each case provides images, patient history, and questions to test the identification of anatomical structures, diagnosis, and clinical reasoning skills of the reader.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    US OB Review (#1 - 61)

    Uploaded by

    Júlio Muniz
    162 views205 pages
    This document is a case review for oral boards in radiology containing 61 ultrasound cases related to obstetrics. Each case provides images, patient history, and questions to test the identification of anatomical structures, diagnosis, and clinical reasoning skills of the reader.

    Original Description:

    radiology

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    This document is a case review for oral boards in radiology containing 61 ultrasound cases related to obstetrics. Each case provides images, patient history, and questions to test the identification of anatomical structures, diagnosis, and clinical reasoning skills of the reader.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    162 views205 pages

    US OB Review (#1 - 61)

    Uploaded by

    Júlio Muniz
    This document is a case review for oral boards in radiology containing 61 ultrasound cases related to obstetrics. Each case provides images, patient history, and questions to test the identification of anatomical structures, diagnosis, and clinical reasoning skills of the reader.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 205
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    This document reviews several ultrasound cases of the female pelvis and fetus for radiology oral board review. It aims to teach residents how to interpret ultrasound images and identify normal and abnormal findings.

    Common structures that should be identified include the fetal head, limbs, stomach, bladder, umbilical cord insertion and placental location. Later in gestation the four chambers of the heart and brain anatomy can also be seen.

    An ultrasound exam may include measuring the amniotic fluid index (AFI) to assess for polyhydramnios or oligohydramnios. Fetal biometry such as head circumference, abdominal circumference and femur length may also be measured to estimate gestational age.

    OB Ultrasound Case Review

    Radiology Oral Boards 2004


    Cases # 1 - 61
    Question & Answer Style
    Author: Residents 2004
    University of South Alabama
    Department of Radiology
    Last Revised (rev C): 05-MAY-04
    Acknowledgements
    - It would be impossible to create a file as extensive as this one
    without the incorporation of the work of numerous other entities and
    individuals. Much of this material (mainly, images) is copyrighted,
    and the copyright remains the property of the respective holder(s).
    - When appropriate (e.g., for an image taken from a textbook), an
    attempt has been made to give a reference to the source of the
    information, so proper credit can be given
    - However, many of the images herein have been copied from Web
    sites and other multimedia materials, such that it is not practical to
    give specific credit to every source.
    In any case, this file has been created by residents, at an educational
    institution, for the sole purpose of furthering medical education. As
    such, the used of the copyrighted material herein is believed to fall
    within the domain of educational Fair Use. Any other use, including
    the selling of this file (or contents) for profit, is strictly prohibited by
    law.
    Case #1 6.5 wk embryo
    Continued
    Identify structures. By what point should they be seen?
    Continued
    Case #1, cont.: Identify Structures
    (2
    nd
    trimester)
    Case #1, cont.: Identify Structures
    Continued
    Case #1, cont.: Assessment of AFI (subjective)
    Continued
    Case #1, cont.: what structures are show?
    X Last Image
    Case #2 Screening US
    X Last Image
    Case #3
    X Last Image
    Case #4
    Continued
    Case #5
    X Last Image
    Case #6
    X Last Image
    Case #7 (12 wk fetus)
    Continued
    Case #8
    X Last Image
    Case #9: 4-chamber view
    X Last Image
    Case #10
    X Last Image
    Case #11a
    (Image 1/3)
    Continued
    What associated lab test
    might help confirm your
    diagnosis?
    Case #11b
    (Image 3/3 Different Patient)
    X Last Image
    Findings? How is this
    different from the
    previous case, if at
    all? What abnormal
    lab value might be
    expected?
    Case #12
    X Last Image
    Case #13
    Continued
    Case #14
    (12 wk fetus)
    X Last Image
    Case #15
    X Last Image
    Case #16
    (11 wks by LMP)
    Continued
    Case #17
    X Last Image
    Case #18
    X Last Image
    AFI = 37.5 cm
    Case #19
    X Last Images
    Right Adnexa, + b-HCG Representative image of Uterus
    Case #20
    Multiple previous 2
    nd
    -trimester pregnancy losses
    More Video
    Case #20, cont. (different patient)
    X Last Images
    Case #21
    Hx of Polyhydramnios
    X Last Images
    Case #22
    More Images
    Case #23 (left adnexa)
    X Last Image
    Click for Hx
    Sexually active, 30 yo, Left Pelvic Pain; b-HCG negative
    Case #24
    Hx - Multiple First-Trimester Miscarriages
    X Last Image
    Case #33, cont. Additional Imaging.
    X Last Image
    Skull in a different plane than
    shown initially.
    Real-time US of
    extremeties.
    Continued
    Case #56 OB US For Dates
    Mother is bipolar w/ chronic lithium Rx
    Findings?
    (click for more)
    Attempt to identify chambers Normal size?
    Fetal Abdomen
    Case #57 Routine OB US
    X Last Image
    Findings?
    (click for hint)
    One of the cardiac chambers shows virtually no contractility
    Which is it? What other abnormality is apparent? Etiology?
    Case #61 Screening OB US
    Orientation: IUP, and images shown are from the fetal abdomen
    Continued
    Case #61, cont.
    Findings? DDx?
    X Last Image
    Case #61 Answers
    Fetal Gallstones
    - Images showed calcification in the fetal mid-abdomen, which were
    shown on real-time scanning to be in the fetal GB
    - Fetal gallstones are a rare benign finding, and can spontaneously
    resolve
    - Main DDx is from fetal liver calcifications, which are more concerning
    and require addional workup
    - Meconium peritonitis might also cause calcifications
    X Last Image
    http://www.thefetus.net/page.php?id=233

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